Carrie Lee, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12604T Issued in CA

Practice address

2786 Diamond St
San Francisco, CA 94131-3057

Phone

(415) 334-2020

Fax

(415) 594-9601

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyedentity Vision Optometry, Inc.

  • Clinic/Center
  • San Francisco, CA
  • NPI 1255514642
  Medicare reassignment Authorized official
• Loran Bruce Mebine

  • Optometrist
  • San Francisco, CA
  • NPI 1275694531
  NPD (past)
• Optometry Eyecareeyewear Com Inc

  • Optometrist
  • South San Francisco, CA
  • NPI 1720415979
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1760474142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 DIAMOND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313057",
            "telephone_number": "415-334-2020",
            "fax_number": "415-334-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 DIAMOND ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941313057",
            "telephone_number": "415-334-2020",
            "fax_number": "415-594-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Gateway Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940807400",
            "country_code": "US",
            "telephone_number": "650-871-9200",
            "fax_number": "650-871-6026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CARRIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12604T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol K Lee, M.D.
• Caroline Lee
• Caroline Helen Lee, MD
• Caroline Jean Lee, MD
• Carolyn Lee, MSPT
• Casey Paul Lee, DDS, MD
• Chae Joon Lee
• Chanhung Z. Lee, MD
• Charles Kyung Chul Lee, MD
• Charlotte Mei Guon Lee

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.